5-MBE_Utilization_Form.docx

DOCX document 24 KB Posted

Attached to
PUBLIC WORKS UNIFORM RENTAL & CLEANING
Solicitation number
2026-ITB-338
Issued by
New Haven County, Connecticut

About this file

This is an MBE Utilization Form documentation file for the City of New Haven, Connecticut, related to a Public Works Uniform Rental & Cleaning contract opportunity. The City is seeking qualified vendors to provide uniform rental, cleaning, repair, and replacement services for the Department of Public Works, which employs approximately 115 employees. Required services include regular pickup and delivery, laundering, garment maintenance, and inventory management. The selected vendor must ensure consistent quality, timely service, and compliance with all applicable safety and industry standards.

The form requires contractors to submit a complete list of all subcontractors to be used on the project, including company name, address, type of work, dollar amount, outreach method used to secure the subcontractor, and appropriate company classification. The City of New Haven has established a Minority and Women-Owned Small Business (MBE/WBE) participation goal of 25%, which contractors must certify they have achieved. Contractors must complete and submit this form as part of their bid submission; failure to do so will result in a non-responsive and rejected submission. The form requires contractor signature and approval by the City's relevant department, with documentation of completion date.

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Text version

City of New Haven MBE Utilization Documentation – Sub-Contractor Listing Project Name and ID:

The Contractor herewith submits a complete list of all Subcontractors to be used on the project by name address, type of work, dollar amount, outreach method used to secure subcontractor and appropriate company classification. This form must be completed as part of your submission. Your submission will be deemed non-responsive if the form is not completed and your response will be rejected.

I am representing Certify that I have read the City of New Haven's goals Name Company for use of minority and women owned small businesses and I have achieved the Goal of 25% participation.

Signature Type Name & Title Date Approved by S

CD

- Signature Print Name and Title Date

Name of Contractor
Address
Telephone
Contact
Type of Work
Dollar

Amount Type of Outreach

MBE
WBE

Rev 9/25/2024[DOCUMENT TITLE] | [Document subtitle]

File details come from the government source that posted it. Updated .